DR. ROBERT JOHN NICOLA (NPI# 1174662571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174662571 |
| Entity Type | Individual |
| Full Name | DR. ROBERT JOHN NICOLA |
| Credential | DDS |
| Practice Address |
1522 W Centre Avenue Portage MI 49024 |
| Practice Telephone | 2693276765 |
| Practice Fax Number | 2693271138 |
| Mailing Telephone | 2693276765 |
| Mailing Fax Number | 2693271138 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2901009368 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912046319 | Robert Leon Nicola | Dentist | 1522 W Centre Avenue, Portage, MI 49024 | 2007-02-05 |
| Street Address |
1522 W CENTRE AVENUE |
| City | PORTAGE |
| State | MI |
| Zip Code | 49024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912046319 | Robert Leon Nicola | Dentist | 1522 W Centre Avenue, Portage, MI 49024 | 2007-02-05 |
| 1639204852 | General Dentistry PC | Dentist | 1522 W Centre Avenue, Portage, MI 49024 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774524 | Antonio Richard Barron | Physician Assistant | 5717 Oakland Dr Ste A, Portage, MI 49024 | 2019-08-03 |
| 1699279240 | Julie Lynn Griffin | Specialist/Technologist | Portage Northern High School, 1000 Idaho Ave, Portage, MI 49024 | 2018-03-20 |
| 1194255711 | Brittany Lynn Finkler | Audiologist | 576 Romence Rd Ste 121, Portage, MI 49024 | 2017-06-15 |
| 1164881207 | Family & Children Services, Inc. | Clinic/Center | 1302 W Milham Ave, Portage, MI 49024 | 2016-02-17 |
| 1497127716 | Huber Counseling, LLC | Counselor | 1591 West Centre Ave, Suite 102, Portage, MI 49024 | 2015-10-26 |
| 1659757466 | Marie Porter | Rehabilitation Practitioner | 5724 Alten St, Portage, MI 49024 | 2015-08-04 |
| 1063824860 | George Hughes | General Practice | 6630 Sunburst Dr, Portage, MI 49024 | 2014-05-28 |
| 1922358407 | Kimberly Lynn Ellrich | Speech-Language Pathologist | Storypoint, 3951 W Milham Ave, Portage, MI 49024 | 2012-09-12 |
| 1942593744 | Shamika Hall, Ph.d. & Associates, Pllc | Community/Behavioral Health | 7901 S. 12th St., Suite 201, Portage, MI 49024 | 2011-05-26 |
| 1306142815 | Jody Lynn Wrathall | Dentist | 3020 Old Centre Rd, Portage, MI 49024 | 2011-01-31 |
| Find all providers in zip 49024 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205452562 | Bradford and Rowean Dds PC | Dentist | 710 W Centre Ave, Portage, MI 49024-5310 | 2020-06-23 |
| 1427509769 | Hammond Dental Group LLC | Dentist | 3109 Willowcreek Rd, Portage, IN 46368-4423 | 2016-10-21 |
| 1952737538 | Merit Dental Michigan PC | Dentist | 3060 W Centre Ave Ofc B, Portage, MI 49024-4825 | 2013-09-16 |
| 1306142815 | Jody Lynn Wrathall | Dentist | 3020 Old Centre Rd, Portage, MI 49024 | 2011-01-31 |
| 1124350764 | Pei Wei Linda Lin Dmd Pllc | Dentist | 6714 S Westnedge Ave, Portage, MI 49002-3538 | 2010-02-08 |
| 1407098056 | Robert S Yeung | Dentist | 950 Trade Centre Way, Suite 225, Portage, MI 49002-0487 | 2009-03-28 |
| 1700042165 | Aoua Coulibaly | Dentist | 5200 S Westnedge Ave, Portage, MI 49002-0405 | 2008-08-05 |
| 1700045523 | Thomas Kwong | Dentist | 5907 Oakland Dr, Portage, MI 49024-1120 | 2008-06-06 |
| 1902076268 | Daniel John Brayton | Dentist | 470 W Centre Ave, Suite B, Portage, MI 49024-5362 | 2008-03-03 |
| 1417150137 | Michigan City Family Dentistry | Dentist | 6044 Lute Rd, Portage, IN 46368-5008 | 2007-06-08 |
| Find all providers in PORTAGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.